July 2020

Spoon Feed Point-of-care ultrasound (POCUS) was accurate in distinguishing cellulitis from abscess.

Spoon Feed There does not appear to be a mortality benefit to antibiotic administration <1 hour vs < 3 hours for patients with severe infection.

Spoon Feed Timely appropriate antibiotic therapy was associated with lower mortality.

Spoon Feed The preponderance of limited evidence supports antibiotic use for dog bites, and the benefit outweighs the risk.

Spoon Feed Treating dog bites with antibiotics to prevent infection may not be beneficial and may result in antibiotic related side effects and promote resistance.

Spoon Feed Bradycardia with poor perfusion is associated with better survival with favorable neurologic outcome than pulseless cardiac arrest in critically ill children receiving CPR.

Spoon Feed Bedside spirometry measurements, specifically the FEV1, can help predict outcomes for geriatric patients with isolated rib fractures and may be used to make decisions about admission and discharge. Pain control did not correlate with pulmonary function or predict discharge home.

Spoon Feed Scaphoid fractures are the most common carpal bone injury, yet they are still commonly missed. Maintain a high clinical suspicion for scaphoid injury even with negative radiographs.

Spoon Feed In this retrospective study, an ondansetron prescription was associated with decreased 72-hour return visit rates for children with vomiting or acute gastroenteritis and did not appear to mask any alternative diagnosis.

Spoon Feed Norepinephrine appears to cause a dose-dependent dysregulation of the host immune response. This leads to attenuation of pro-inflammatory mediators and reactive oxygen species and augmentation of anti-inflammatory mediators which may inhibit the host’s ability to fight off infection.